Herbert James Huston, PHYSICIAN ASSISTANT

NPI #1942201330 in Centralia, Illinois

Provider Information

NPI Number: 1942201330
Entity Type: Individual
Name: Herbert James Huston, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Aug 9, 2005
Last Updated: May 15, 2013

Practice Location

Address: 404 N PLEASANT AVE
City: Centralia
State: Illinois
ZIP Code: 62801-3006
Phone: (618) 339-9872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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